Water Savings form 1

1

Contact Name* This field is required.This should be the individual within your business who is responsible for the water contracts.

First Name

Last Name

2

Preferred Contact NumberWe will only contact you if we need additional information to provide an accurate quotation or if you have requested a call.

Area Code

Phone Number

3

Email Address* This field is required.We will use this email address for sending your quotes

example@example.com

4

Business Name* This field is required.

Legal Name or Trading Name of your business

5

Supply Address* This field is required.Please ensure this is accurate so we can locate the correct supply point

Postcode

Street Name

Building name or number

6

SPID Number (Supply Point ID)Can be found on a recent bill. Not required but helps us locate the supply and annual water consumption.

7

Contract End DateWhen does your current contract end? (If Known)

Date

8

Upload a copy of a recent bill (optional)We can use this to confirm supply point ID (SPID) and also to confirm annual usage figures.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

9

Would you like us to provide information on any other services?Our Fair Deal initiative helps you ensure you are not over-paying for your business essential services.

Card Machines, EPOS systems & Merchant Services

Gas & Electricity

Telecoms: Fibre, VOIP, IP Phones, Mobile, fixed line

Website Design